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BOC SINGLE ADMINISTRATIVE DOCUMENT

2 Exporter /Supplier Address

HUIXIN TRADE COMPANY OF HUIAN COUNTY


CHINA

3 Page

5 Items

6 Tot Pack

3
C
U
S
T
O
M
S

8 Importer/Consignee, Address

Office Code:
P02B
Manila Int'l Container Port
Manifest No: TSL0006-16
Customs reference no.: C-21329
Date :
01/22/2016 17:27:02

1 DECLARATION

003741835000

Tin:

Registry No.

HUI JIN QIAO 186

3CNA1600007

960

10

11

XX

15 C.E. Code

17

CHINA
20 Terms Of Delivery

CFR
Total Customs Value

USD
XX
30 Location Of Goods

P02B-Manila Int'l Container Port

S03

31 Packages
and Desc.
Of Goods

Marks & Nos :


1X40STC.960
No. Of Packages : 960
Number and Kind : CT-CARTON

32 Item No.

CTNS

01-Basic
Bank Ref No. :

Rate

42021299000

0.00
36 Pref

7,203.19 Kg(s)

CN

Item Net Weight

000

ACFTA
39 Quota

6,668.52 Kg(s)

NNNNN

40b Previous Doc No.

40a AWB/BL

BACK PACK

Tariff Spec

35 Item Gross Wgt.

37 Procedure

4000

010410017-9051896

33 HS Code

34 C.O. Code

Containers No(s) :
TCNU4170762
- - - - Other

Bank Code :

Bank Name : PCHC


Branch :
NA

Marks and Numbers - Containers No(s) - Number and Kind

24 Thru Bank

47.679
998

133,400.00

Terms of Payment :

29 Port Of Destination

23 Exch Rate

28 Financial and Banking Data

27 Transhipment Port

17

CN

16 Country of Origin

22 F. Cur.

26

13 T. Rel.

1,467.00

CHINA

21 Local Carrier (If Any) :

25

16-034

12 Tot. F/I/O

XX

15 Country of Export

19 Ct

TSL0006-16

/ Client Reference Number

9 CRF No.

MFG MANILLE INC


RM 306 ORTIGAS BLDG., ORTIGAS AVENU
E
PASIG CITY 1600
1600
PHILIPPINES
14 Broker/Attorney-In-Fact, Address
Tin:
110642984000
JULITA Q. LOPEZ
SUITE 803 FEDERAL TOWER BLDG., DASM
ARINAS ST., BINONDO
MANILA 10061006
PHILIPPINES
18 Vessel/Aircraft

7 Reference Number

EGXM16016020
44 Add Infos
Doc / Produ.
Certif. & Aut.

OTHInEV :

INSinFRT :

Fine :

0.000

41 Suppl. Units

0.00

42 Item Customs Value (F.C.)

960.00

22,660 + 18,893 + 0 + 518 - 6,145

43 V.M.

79,250.00

45 Adjustment

1.00

Prev Doc Reference :

46 Dutiable Value (PHP)


Invoice No. :

47 Calculation of Taxes

Type

CUD
VAT

Dump Bond :

6FH1001
Tax Base

3,820,113.48
3,835,303.36

Rate

0%
12%

Total

3,820,113.48

Amount

MP

0.00
459,787.00

1
1

459,787.00

48 Prepaid Account No.

49 Identification of Warehouse

47b ACCOUNTING DETAILS


.............................................................................................................................
:
Mode Of Payment
CASH
Assessment Number
Date : 01/22/2016
: L-30575
Receipt Number
Date :
: Guarantee
Date :
:
.............................................................................................................................
Total Fees
1,741.00
Total Assessment

776,446.00

50 We hereby certify that the information contained in all pages of this Declaration and the documents submitted are
to the best of out knowledge and belief true and correct.

JULITA Q. LOPEZ
Broker

Administering Officer /
Notary Public

MFG MANILLE INC


Date :

Importer/Attorney-In-Fact

52 Control at Office Destination

51 AUTHORIZATION

Date

Subscribed and sworn to before me

Print name

Position

Date

Print name

Position

1 DECLARATION
8 Importer/Consignee, Address

31
Packages
and Desc.
Of Goods

MFG MANILLE INC


RM 306 ORTIGAS BLDG., ORTIGAS AVENU
E
PASIG CITY 1600
1600
PHILIPPINES
Marks
and Numbers - Containers No(s) - Number and Kind
Marks & Nos : NM
No. Of Packages : 0
Number and Kind : CT-CARTON
Containers No(s) :
TCNU4170762
- - - - Other

3 Page

6
32 Item No.

Office Code: P02B


Manila Int'l Container Port
Manifest No: TSL0006-16
Customs reference no.: C-21329
Date :
01/22/2016 17:27:02
33 HS Code

Rate

42021299000
34 C.O. Code

35 Item Gross Wgt.

CN

36 Pref

1,686.05 Kg(s) ACFTA

37 Procedure

4000

Tariff Spec

0.00

Item Net Weight

000

39 Quota

1,560.90 Kg(s) NNNNN

40a AWB/BL

HAND BAGS
44 Add
Infos Doc
/ Produ.
Certif. &
Aut.

OTHInEV :

EGXM16016020
INSinFRT :

Fine :

0.000

41 Suppl. Units

42 Item Customs Value (F.

960.00

43 V.M.

18,550.00

5,304 + 4,422 + 0 + 121 - 1,438

45 Adjustment

1.00
46 Dutiable Value (PHP)
Invoice No. :
31
Packages
and Desc.
Of Goods

Dump Bond :

6FH1001

894,171.49

Marks and Numbers - Containers No(s) - Number and Kind

32 Item No.

Marks & Nos :


NM
No. Of Packages : 0
Number and Kind : CT-CARTON
Containers No(s) :
TCNU4170762
- - - - Other

Rate

33 HS Code

42021299000
34 C.O. Code

35 Item Gross Wgt.

CN

36 Pref

3,235.76 Kg(s) ACFTA

37 Procedure

4000

Tariff Spec

0.00

Item Net Weight

000

39 Quota

2,995.58 Kg(s) NNNNN

40a AWB/BL

SHOULDER BAG
44 Add
Infos Doc
/ Produ.
Certif. &
Aut.

OTHInEV :

EGXM16016020
INSinFRT :

Fine :

0.000

41 Suppl. Units

42 Item Customs Value (F.

960.00

43 V.M.

35,600.00

10,179 + 8,487 + 0 + 233 - 2,760

45 Adjustment

1.00
46 Dutiable Value (PHP)
Invoice No. :
31
Packages
and Desc.
Of Goods

Dump Bond :

6FH1001

1,716,038.25

Marks and Numbers - Containers No(s) - Number and Kind

32 Item No.

Marks & Nos :


No. Of Packages :
Number and Kind :
Containers No(s) :

33 HS Code

Rate

Tariff Spec

34 C.O. Code

35 Item Gross Wgt.

36 Pref

37 Procedure

Item Net Weight

39 Quota

40a AWB/BL

44 Add
Infos Doc
/ Produ.
Certif. &
Aut.

OTHInEV :

INSinFRT :

Fine :

41 Suppl. Units

42 Item Customs Value (F.

43 V.M.

45 Adjustment

46 Dutiable Value (PHP)


Invoice No. :

47 Calcula
-tion of
Taxes

Type

CUD
VAT

Dump Bond :
Tax Base

894,171.49
897,727.16

Rate

0%
12%

Amount

0.00
108,061.00

MP

Type

1
1

CUD
VAT

Total first item of this rider:


Type

Tax Base

Tax Base

Rate

1,716,038.25
1,722,861.82

0%
12%

Amount

0.00
206,857.00

Total second item of this rider:


Rate

Amount

MP

Type

Amount

MP

<

RECAPITULATION

C Office of departure
Total third item of this rider:

MP

1
1

53 INTERNAL REVENUE (TAX PER BOX #46 & 47

BANK CHARGES

6,430,323.69
0.00

CUSTOMS DUTY

0.00

TAXABLE VALUE PHP

13,087.90

BROKERAGE FEE

873.00

WHARFAGE

10,343.00

ARRASTRE CHARGES

265.00

DOCUMENTARY STAMP

1,000.00

OTHERS
TOTAL LANDED COST PHP

6,455,892.60
774,705.00

TOTAL VAT PHP

DESCRIPTION IN TARIFF TERMS SHOULD BE


54 SECTION

55 NO. OF PACKAGES EXAMINED

ITEM
DESCRIPTION IN TARIFF TERMS SHOULD BE
NO

EXAMINATION RETURN
QTY

56 DATE RECEIVED
UNIT

UNIT VALUE

57 DATE RELEASED
TARIFF HEADING

1
PLEASE REFER TO RIDER/S FOR FINDINGS ON ITHER ITEMS
REVISED CHARGES
59 CHARGES

60 DECLARATION

61 FINDINGS

LIQUIDATION
62 DIFFERENCES

65 LIQUIDATION AMOUNT
PHP

DUTY
BIR Taxes

66 SHORT/EXCESS
PHP

VAT
Excise Tax/Ad

67 REMARKS

Others
Surcharges
TOTAL

63 ACTION DIRECTED /
RECOMMENDED

64
Date

68
Date
69

Date

CONTINUATION FROM BOX # 31

CUD
VAT

Date

FREE DISPOSAL

0.00
774,705.00

Total Item Taxes

IPF
D&F
CSF

774,705.00
1,000.00
265.00
476.00

Total Global Taxes

1,741.00
776,446.00

RATE

Republic of the Philippines


Department of Finance
BUREAU OF CUSTOMS

Terms Of Payment
Code

Account

010410017-9051896

Bank Reference Number :

Selectivity Color :

GREEN

Section

Republic of the Philippines


Department of Finance
BUREAU OF CUSTOMS

ASSESSMENT NOTICE
Customs Office

P02B

Manila Int'l Container Port


Identification of the Declaration

Model

Ref
Year

Registration
Number
Date

Year

Number

2016

C-21329

2016

L-30575

Client Reference No :

01/22/16

Assessment
Day/Mth

22/January

Nbr of
Items

16-034
3CNA1600007

Declarant Reference No :

Declarant : 110642984000

Importer :

003741835000

JULITA Q. LOPEZ
SUITE 803 FEDERAL TOWER BLDG., DASM
ARINAS ST., BINONDO
MANILA 10061006
PHILIPPINES
MFG
MANILLE INC
RM 306 ORTIGAS BLDG., ORTIGAS AVENU
E
PASIG CITY 1600
1600
PHILIPPINES

Mode of Payment :

CASH

Account Number

Receipt number

Statement number and date

CUD
VAT

0.00
774,705.00

Total Item Taxes

IPF
D&F
CSF

774,705.00
1,000.00
265.00
476.00

Total Global Taxes

1,741.00

Total assessed amount for the declaration


Amount currently to be paid

776,446.00

TRANSACTION RECEIPT

TRANSACTION RECEIPT NO.

CLIENT

TIN

3CNA1600007

MFG MANILLE INC


RM 306 ORTIGAS BLDG., ORTIGAS AVENU
E
PASIG CITY 1600
1600
PHILIPPINES
003741835000

TRANSACTION DETAILS
ENTRY DATE

01/22/2016 00.00.00

ENTRY NO.

C-21329

HOUSE NO.

EGXM16016020

MANIFEST NO.

TSL0006-16

REFERENCE NO.

3CNA1600007

AMOUNT

45.00

TOTAL AMOUNT DUE

FORTY FIVE PESOS ONLY

Certified correct :
CARGO DATA EXCHANGE CENTER, INC.

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